| NPI | 1285120253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3012523) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.022819) |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2024-11-04 |